Day 1 :
- Research, Education and Case Studies on Mental Health
Sulaiman Al Rajhi University, Saudi Arabia
Osama Zitoun has recently completed his MBBS degree from Sulaiman Al Rajhi University. He is intrested in medical research and has few publications in the field.
Objectives: The stigmatization of people with mental illness is a worldwide problem. The authors aimed to assess stigmatizing attitudes among medical students at a university in Saudi Arabia towards mental illness and to evaluate the association of psychiatric education and planned medical specialty with stigmatizing attitudes and beliefs concerning the treatability and etiology of mental illness.
Methods: A cross-sectional survey of currently enrolled medical students at a Saudi Arabian medical college was conducted through convenience sampling using a 52-item questionnaire. Factor analysis identified four unique factors representing attitudes and beliefs towards mental illness. ANOVA and Chi-square tests were used to evaluate the differences in attitudes among students at different levels and other variables associated with these factors.
Results: Altogether 245 students (46.7%) responded to the survey. Completion of a classroom psychiatry course, but not a clinical clerkship, was associated with stronger belief in the effectiveness of treatment of both medical and mental illnesses (p= 0.031) as well as greater acceptance of the biopsychosocial model of the etiology of mental illness (p= 0.001). Students interested in pursuing a surgical career had weaker beliefs in the effectiveness of treatment of mental illnesses as compared to students interested in other minor specialties (p= 0.002).
Conclusion: While attitudes towards socializing with people with mental illness did not differ significantly with different levels of psychiatric education, beliefs about treatability and biopsychosocial etiology seem to be strengthened after a classroom psychiatry course but not further reinforced after the clinical clerkship.
Keywords: Stigmatization; Attitudes; Mental illness; Medical students; Mental health
- Mental Health and Wellbeing
West Texas A&M University, United States
Areen Omary is an Assistant Professor at the Department of Psychology, Sociology and Social Work at the West Texas A&M University, Texas A&M University System in Texas.Dr. Omary authored and coauthored many journal articles in health determinants of major depression, bipolar and schizophrenia. Sheserveson several editorial boards in journals such as the American Journal of Public Health, Psycohlogical Review, and Quarterly Psychiatric. Dr. Omary has appearances in the media as an expert in mental health. She also served as a conference reviewer of the 2020 Council of Social Work Education conference.
This research aims to explore whether sex, race, age, education, and marital status can significantly predict suicide ideation (SI) and suicidal attempts (SA) among adults with and without MDE; and to examine whether the association between MDE, SI, and SA changes after adjusting for age, education, and marital status as confounding factors while keeping race-sex as a constant variable. To reach this goal, data from the 2018 National Survey on Drug Use and Health were extracted and analyzed, producing 42,551 records. Study results show that among adults with MDE, adults < 50 years old, adults without a college degree, never married, divorced/separated, and White males were at increased risk for SI. Among adults without MDE, adults< 50, with some college education, never married, or divorced/separatedwere more likely to experience SI. Black males were at increased risk for SA, whether they had MDE or not.There is a diverse at-risk population for SI and SA among adults with and without MDE. Special attention should be paid to Black males.
Thomas Edison State University, United States
Swee Lin Ang has completed her associate’s degree in nursing at the age 24 years from Brookdale Community College and is currently pursuing a bachelor’s degree in Nursing from Thomas Edison State University. She has served as a registered nurse at Barnabas Health Medical Group West Park Pediatrics for six years.
Depression also known as Major Depressive Disorder (MDD), is one of the most common psychiatric disorders that children and adolescents experience in the United States. Screening for depression in children and adolescents in plays a significant role in improving adolescents’ depression severity.With increased suicide rates, evidence-based screening tools are increasingly being utilized in the primary care setting to better identify youth at risk of MDD. Recognizing that an increased number of children and teenagers experience MDD symptoms, BHMG West Park Pediatrics providers began incorporating PHQ -9 one year ago in annual check-ups for children aged twelve and older. However, the question concerning whether screening tools affect early detection of depressive symptoms in adolescents remain unanswered. Therefore, literature on the subject was collected from various sources, including EBSCOhost, ProQuest and nursing research related to the clinical issues was investigated with quantitative reports. A poster presentation was also designed to investigate and evaluate the impact of increased PHQ-9 depression screening and whether using the PHQ-9 more effectively predicts depression, requiring physician treatment in adolescents. Quantitative studies, such as retrospective longitudinal studies and predictive studies have demonstrated the importance of implementing the PHQ-9 in primary care. A retrospective longitudinal study was conducted to recognize the differences in essential care practices for identifying depression and to provide evidence of the fit and potential value of depression care quality measures in the context of current practice. A predictive study was also conducted to investigate whether responses to the PHQ-9 predict subsequent suicide attempts or deaths.
- Psychiatry Nursing
Aston Ward, Lister Hospital, United Kingdom
Dr Stephanie Adeyemi (Foundation Year 1 Doctor) at Aston Ward, Lister Hospital, England, United Kingdom
Background: Research indicates that patients with mental health conditions have an increased risk of physical health problems. The National Early Warning Score (NEWS) can be utilised to improve the recognition of unwell patients.
Aims: This audit aimed to assess and improve the documentation of physical observations (HR, BP, temperature, RR, oxygen saturations, and APVU) and provide training for mental health staff in order to improve NEWS documentation.
Methods: This audit was conducted on a 15 bed adult inpatient unit and all data was recorded on an Excel spreadsheet. In November 2019, an initial audit was conducted to assess correct documentation of all vital signs through the analysis of the patients’ NEWS charts. The audit standard was 100%. Following data analysis of the findings of the initial cycle the audit results were presented to the ward team. Over the span of 3 months medical education took place in the form of a training session, a powerpoint presentation, posters and the circulation of online resources. A re-audit was conducted in January 2020 and the data from this was analysed to identify if the medical education had any impact.
Findings: When comparing audit cycle results the RR documentation accuracy increased by 8.9% (26.7% in Nov to 35.6% in Jan) and AVPU documentation accuracy increased by 11.2% (44.4% in Nov to 55.6% in Jan). BP (86.7% to 77.8%) and HR (86.7% to 77.8%) documentation both decreased by 8.9%, temperature documentation accuracy decreased by 2.2% (77.8% to 75.6%), SpO2 documentation accuracy decreased by 6.7% (84.4% to 77.8%) and calculation of the NEWS score (33.3% ) remained the same.
Conclusion: None of the vital sign parameters met the audit standard (100%) even with medical education. This represents an area for improvement. The teaching was detrimental to many domains when comparing data from both cycles which suggests that medical education alone may not be useful as the only tool for improving the recording of vital signs and the calculation of the NEWS on adult mental health units.
University of Port Harcourt Counselling Centre, Nigeria
Dr. Celestina Johnson obtained a PhD in Educational Psychology in 2012 at University of Port Harcourt, Nigeria at the age of 43 years. She is currently the Professional Director of University of Port Harcourt Counselling Centre where she has been working for over twenty years. She has many published papers in peer reviewed journals in Nigeria. Dr. Celestina Johnson continuously makes positive effort to contribute in her environment in any way possible and believe in her ability to change herself and those around her by working towards universally acceptable code of conduct. She also maximize her experience as to work in a fast paced and challenging environment.
Nigeria as a third world country is struggling in terms of institutionalising the wholesome practice of taking care of people with psychiatric disorder. It fails also to come to terms with a total lack of commitment and world best practices on mental health disorder. Mental Health disorder is seen from a different angle and perceptive from what is obtainable in other countries. The underlying problem is cultural, socio-economic and inability of the government to address the seriousness of mental disorders which is in dire need of intervention which could be structured into all health facilities in the country. The inherent problems need new strategies to be put to use, to accommodate cultural and socio-economic gaps in third world countries. Culturally, the local people already had a traditional way to deal with certain disorders. The most prevalent of the strategies is to first assume that any discussions of mental health problems or mental illness is taboo from the perceptive of most third world countries, due to a cultural perspective that mental illnesses signify being 'crazy' or 'mad. This however, prevents families from seeking help because of fear of bringing shame on the family. One of the traditional strategies is community and relations based counselling, the second and more appalling is total abandonment of the victims to live off on the streets. This papers tries to look into a more holistic way to deal with the problem with new strategies.
- Clinical Psychology
Isfahan Azad University, Iran
I am Alma karimi, I am Afghan. I am graduate of the bachelor’s degree in psychology from Isfahan Azad University
Background and Aims: Cardiovascular diseases are the most common causes of death in the world and mental pressure is the cause of many negative emotions. Surgery is one of these stressful situations and coping styls and life expectanc affect on persons mental and physical efficacy. The present study aims to determine the effectiveness of training life expectancy and effective coping styles to deal with negative emotions on the mental health of the cardiac surgery patients of AL Zahra Hospital in Isfahan, Iran in 2020
Materials and Methods: In this quasi-experimental study, 32 candidate patients for coronary artery bypass surgery referring to this center were selected using convenience sampling method. They were then randomly included into two 16-member groups, named experimental and control groups. Some stress management, anger management, and hopefulness training courses were held individually for 7 sessions. Before and after the intervention, the patients of both groups answered the questionnaires including the Ways of Coping Questionnaire (by Lazarus & Folkman), Snyder’s Hope Scale, and the General Health Questionnaire-12 (GHQ-12).
Findings: Data analysis showed there is a significant difference between the average of general health in the experimental and control groups after training. Investigating the subscales of coping 3strategies in the experimental and control groups after training showed that there is a significant difference between direct coping, planned problem solving, and positive reappraisal in the two groups.
Discussion and Conclusions: In patients with coronary heart disease, high stress, and negative emotions (anger, anxiety, depression) who are also candidate for coronary artery bypass surgery, training life expectancy and efficient coping styles would be effective in improving their mental health.
Key words: coronary artery disease, stress, coping styls, hope, mental health
Clinical Hospital Centre, Osijek, Croatia
Ivana Jelinčić has completed professional study of nursing at the age of 22 years Faculty of Medicine, Osijek, and graduate university study programme (master's in nursing) at the age od 28 at Faculty of Medicine, Osijek. She works at Psychiatric Clinic, Clinical Hospital Centre Osijek as a nurse.
According to the World Health Organization, “Mental health is defined as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community.” Many nurses are experiencing high levels of stress and it shows an effect on their behaviour and overall heath. In recent years, there has been an increasing interest in mental heath issues. It is noted that working in human service occupations such as nursing can contribute to mental health difficulties and occupational stress has been found to be one of the major work-related health problems. Some of them develop mental health issues, most likely depression, anxiety and isnomnia. The aim of this paper is to examine nurses' self-assessment of their mental health and nursing skills, and show connection between these two.